Minimally invasive spigelian hernia repair

Catherine Baucom, Quan D. Nguyen, Marco Hidalgo, Douglas Slakey

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Introduction: Spigelian hernia is an uncommon ventral hernia characterized by a defect in the linea semilunaris. Repair of spigelian hernia has traditionally been accomplished via an open transverse incision and primary repair. The purpose of this article is to present 2 case reports of incarcerated spigelian hernia that were successfully repaired laparoscopically using Gortex mesh and to present a review of the literature regarding laparoscopic repair of spigelian hernias. Methods: Retrospective chart review and Medline literature search. Results: Two patients underwent laparoscopic mesh repair of incarcerated spigelian hernias. Both were started on a regular diet on postoperative day 1 and discharged on postoperative days 2 and 3. One patient developed a seroma that resolved without intervention. There was complete resolution of preoperative symptoms at the 12- month follow-up. Conclusion: Minimally invasive repair of spigelian hernias is an alternative to the traditional open surgical technique. Further studies are needed to directly compare the open and the laparoscopic repair.

Original languageEnglish (US)
Pages (from-to)263-268
Number of pages6
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume13
Issue number2
StatePublished - Nov 2 2009
Externally publishedYes

Keywords

  • Laparoscopic hernia repair
  • Spigelian hernia

ASJC Scopus subject areas

  • Surgery

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